Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.33 / $5,405.00 / $12,390.00	Facility		$1,946.33	$5,405.00	$12,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $3,491.00 / $8,180.83	Facility		$675.00	$3,491.00	$8,180.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,916.72 / $2,916.72 / $2,916.72	Facility		$2,916.72	$2,916.72	$2,916.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $2,209.56	Facility		$200.00	$617.00	$2,209.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,908.18 / $2,480.63 / $6,175.33	Professional		$1,908.18	$2,480.63	$6,175.33
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $6,842.80 / $7,410.40 / $7,410.40	Professional	22	$6,842.80	$7,410.40	$7,410.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $182.47 / $197.61 / $197.61	Professional	80	$182.47	$197.61	$197.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $91.24 / $98.81 / $98.81	Professional	AS	$91.24	$98.81	$98.81
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00